Tonsillitis classification: Difference between revisions
No edit summary |
|||
Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
Tonsillitis can be classified into [[Acute (medical)|acute]], recurrent, | Tonsillitis can be classified into [[Acute (medical)|acute]], and recurrent forms. Acute tonsillitis is primarily caused by [[viral]] or [[bacterial]] infection; the former of which is usually self-limited. [[Bacterial]] acute tonsillitis will usually resolve with [[antimicrobial]] therapy. Recurrent tonsillitis is primarily caused by [[bacterial]] infection - usually [[group A streptococcus]]. Systemic symptoms, including [[fever]], are usually absent due to their association with [[viral]] acute manifestations of tonsillitis. [[Tonsillectomy]] may be indicated for patients with recurrent tonsillitis if [[antimicrobial]] therapy is ineffective. | ||
==Classification== | ==Classification== | ||
Line 16: | Line 16: | ||
===Recurrent Tonsillitis=== | ===Recurrent Tonsillitis=== | ||
*Tonsillitis that is recurrent is primarily caused by [[bacterial]] infection - usually [[group A streptococcus]].<ref name="pmid19561812">{{cite journal |vauthors=Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T |title=Tonsillectomy in children |journal=Dtsch Arztebl Int |volume=105 |issue=49 |pages=852–60; quiz 860–1 |year=2008 |pmid=19561812 |pmc=2689639 |doi=10.3238/arztebl.2008.0852 |url=}}</ref> | *Tonsillitis that is recurrent is primarily caused by [[bacterial]] infection - usually [[group A streptococcus]].<ref name="pmid19561812">{{cite journal |vauthors=Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T |title=Tonsillectomy in children |journal=Dtsch Arztebl Int |volume=105 |issue=49 |pages=852–60; quiz 860–1 |year=2008 |pmid=19561812 |pmc=2689639 |doi=10.3238/arztebl.2008.0852 |url=}}</ref> | ||
*Presents primarily with [[tonsillar]] [[erythema]] and [[edema]], along with [[odynophagia]], [[dysphonia]], and [[dysphagia]]. | *Presents primarily with [[tonsillar]] [[erythema]] and [[edema]], along with [[odynophagia]], [[dysphonia]], [[dyspnea]], and [[dysphagia]]. | ||
**Systemic symptoms, including [[fever]], are usually absent due to their association with [[viral]] acute manifestations of tonsillitis. | **Systemic symptoms, including [[fever]], are usually absent due to their association with [[viral]] acute manifestations of tonsillitis. | ||
*[[Tonsillectomy]] is indicated for patients with recurrent tonsillitis if the following criteria are met:<ref name="pmid6700642">{{cite journal |vauthors=Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA |title=Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials |journal=N. Engl. J. Med. |volume=310 |issue=11 |pages=674–83 |year=1984 |pmid=6700642 |doi=10.1056/NEJM198403153101102 |url=}}</ref> | *[[Tonsillectomy]] is indicated for patients with recurrent tonsillitis if the following criteria are met:<ref name="pmid6700642">{{cite journal |vauthors=Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA |title=Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials |journal=N. Engl. J. Med. |volume=310 |issue=11 |pages=674–83 |year=1984 |pmid=6700642 |doi=10.1056/NEJM198403153101102 |url=}}</ref> | ||
Line 22: | Line 22: | ||
**5 episodes in each of 2 consecutive years {{Or}} | **5 episodes in each of 2 consecutive years {{Or}} | ||
**3 episodes in each of 3 consecutive years | **3 episodes in each of 3 consecutive years | ||
==References== | ==References== |
Revision as of 15:37, 18 October 2016
Tonsillitis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Tonsillitis classification On the Web |
American Roentgen Ray Society Images of Tonsillitis classification |
Risk calculators and risk factors for Tonsillitis classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
Tonsillitis can be classified into acute, and recurrent forms. Acute tonsillitis is primarily caused by viral or bacterial infection; the former of which is usually self-limited. Bacterial acute tonsillitis will usually resolve with antimicrobial therapy. Recurrent tonsillitis is primarily caused by bacterial infection - usually group A streptococcus. Systemic symptoms, including fever, are usually absent due to their association with viral acute manifestations of tonsillitis. Tonsillectomy may be indicated for patients with recurrent tonsillitis if antimicrobial therapy is ineffective.
Classification
Tonsillitis can be classified into acute, recurrent, and chronic forms.[1]
Acute Tonsillitis
- Primarily caused by bacterial or viral infection.[1]
- Presents with tonsillar erythema, edema, odynophagia, dysphonia, fever, rhinorrea, cough and headache.[2][3]
- Tonsillectomy is not usually indicated to treat acute tonsillitis; viral tonsillitis is self-limited and bacterial tonsillitis will resolve with antimicrobial therapy.[3]
Recurrent Tonsillitis
- Tonsillitis that is recurrent is primarily caused by bacterial infection - usually group A streptococcus.[3]
- Presents primarily with tonsillar erythema and edema, along with odynophagia, dysphonia, dyspnea, and dysphagia.
- Tonsillectomy is indicated for patients with recurrent tonsillitis if the following criteria are met:[4]
- 7 episodes of tonsillitis in a single year OR
- 5 episodes in each of 2 consecutive years OR
- 3 episodes in each of 3 consecutive years
References
- ↑ 1.0 1.1 Stelter K (2014). "Tonsillitis and sore throat in children". GMS Curr Top Otorhinolaryngol Head Neck Surg. 13: Doc07. doi:10.3205/cto000110. PMC 4273168. PMID 25587367.
- ↑ "Tonsillitis - NHS Choices".
- ↑ 3.0 3.1 3.2 Stuck BA, Götte K, Windfuhr JP, Genzwürker H, Schroten H, Tenenbaum T (2008). "Tonsillectomy in children". Dtsch Arztebl Int. 105 (49): 852–60, quiz 860–1. doi:10.3238/arztebl.2008.0852. PMC 2689639. PMID 19561812.
- ↑ Paradise JL, Bluestone CD, Bachman RZ, Colborn DK, Bernard BS, Taylor FH, Rogers KD, Schwarzbach RH, Stool SE, Friday GA (1984). "Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials". N. Engl. J. Med. 310 (11): 674–83. doi:10.1056/NEJM198403153101102. PMID 6700642.